Threat of trans- boundary diseases in Pakistan

Dr. M. Athar KhanTABLE D

Table D

• Facilitator • Prof Dr Mohammad Athar khan • Team Members • Dr Farooq Azam Jan • Prof Dr Mohammad Younus • Dr Tahira

History of Crimean Congo Hemorrhagic Fever (CCHF)

www.edinphoto.org.uk/ 0_MAPS/0_map_world_2002_...

The Congo virus was isolated in 1956 in Zaire. In 1969, the Crimean

virus was shown to be identical to the Congo virus.

Known geographical distribution today: Africa, Asia, Middle East, Eastern Europe

CCHF cases in Pakistan

CCHF Orientation - Balochistan

2000 2001 2002 2003 2004 2005 2006 2007 2008 2011 20120

20

40

60

80

100

120

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

68 61 84 65 107 53 46 52 27 80 1637 25 36 33 44 21 10 12 13 5 8

32%

20%22%

15%

25%

14%10%

17%

8%

80%

13%

Suspected Cases Confirmed Fertility rate

CCHF in Balochistan - 2012

• 27 cases were reported throughout the Pakistan mainly contributing to (16) cases directly reported from Balochistan, KPK & Sindh (04 each) and Punjab (03).

Balochistan Sindh Punjab KPK0

2

4

6

8

10

12

14

16

1816

4 43

CCHF Orientation - Balochistan

CCHF

• CCHF is a tick-borne viral haemorrhagic fever with case fatality near 30%

• RNA Virus - Nairovirus group of Bunyaviridae family

• Hyalomma tick is the vector and reservoir• Sheep, cattle, camels and other mammals are

hosts• Humans are infected by:

History in Pakistan

• 1970 - The virus was first isolated from ticks from the Changa Manga forest, Lahore district, and of Hunza, Gilgit Agency

• 1976 - The first reported case and the first nosocomial human case occurred when a laparotomy was performed on a patient with abdominal pain, haematemesis

List of Diseases

• CCHF• Lieshminiasis • Rabies • Bird Flue• Swine Flue • Sever Acute Respiratory Syndrome ( SARS)• Tuberculosis • Brucellosis • Salmonellosis• Leptospirosis • Hydatitosis

Recommendations

• To establish a research center for prompt diagnosis in Quetta / Balochistan

• Provision of funds for the establish of P - 4 Laboratory along with blood sepretor and necessary reagents

• To build the capacity in term iof Training of Lab, Field and Hospital Staff

• Construction of fully equipped isolation ward • Provision of

Recommendation

• Availability of anti viral and anti parasitic Drugs ( Ivermectin )

• Control measures leading to eradication of disease

Recommendation

• Establishing the effective information sharing mechanism between Pakistan and Afghanistan

• Focal Points as well as Task force should be formulated in both countries( to monitor and surveillance timely & regularly )

• Quarterly Meetings and Need Basis • News letter or News Bulletin my be sharing

among SAARC Countries regularly

Recommendations

• Advocacy for socio political / Parliamentarians of both countries

• Funds allocation to conduct the seminar, workshops and conferences for the public awareness